Resources

Telemental Health Services

In order to be seen via HIPAA compliant method of live, two-way interaction between the client and provider using audio-visual technology or phone call for the delivery of mental health services to and from remote locations, this Consent needs to be signed and returned to Sioux Trails prior to the first session.

Informed Consent for Telemental Health Services

How to Connect to Video Visit via Mend App

Emergency Contact Form-fillable pdf

Intake Packet for initial appointment

Payment for Services	PHQ9 and GAD7	WHODAS2.0
Client Consent Form	Child Questionnaire	SDQp11-17 followup
Client Consent for Reminders	Adult Questionnaire	SDQs11-17 followup

Payment for Services Spanish		PHQ9 and GAD7 Spanish
Client Consent Form Spanish		Child Questionnaire Spanish
Client Consent for Reminders Spanish		Adult Questionnaire Spanish

MNSURE information: Coronavirus (COVID-19) emergency special enrollment period: open to eligible Minnesotans who do not have health insurance.

MNsure is Minnesota’s health insurance marketplace where you can shop, compare and choose health insurance coverage that meets your needs. Sioux Trails has certified MNsure navigators on our staff who can assist you in the process. Please call to schedule a time to talk with one of our MNsure navigators, which we will happily do via telephone or video conference call.

MNSure Link

Requesting Records

For the release of records, there needs to be both a release and a request. Releases need to be signed by the client, in person at one of our five offices so they can be verified by one of our staff. Likewise, if you are requesting your own records, paperwork needs to be filled out in person at one of our five office locations. If there is a release on file, other entities may us the paperwork below to fax a request for records to 507-354-3183.

Request For Medical Records

Request by Client or Legal Representative to Access Medical Record

Consent for the Release of Information